Visser, E., van Rossum, P. S. N., van Veer, H., Al-Naimi, K., Chaudry, M. A., Cuesta, M. A., Gisbertz, S. S., Gutschow, C. A., Hoelscher, A. H., Luyer, M. D. P., Mariette, C., Moorthy, K., Nieuwenhuijzen, G. A. P., Nilsson, M., Rasanen, J. V., Schneider, P. M., Schroeder, W., Cheong, E. and van Hillegersberg, R. (2018). A structured training program for minimally invasive esophagectomy for esophageal cancer-a Delphi consensus study in Europe. Dis. Esophagus, 31 (3). CARY: OXFORD UNIV PRESS INC. ISSN 1442-2050

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Abstract

Evidence suggests that structured training programs for laparoscopic procedures can ensure a safe standard of skill acquisition prior to independent practice. Although minimally invasive esophagectomy (MIO) is technically demanding, no consensus on requirements for training for the MIO procedure exists. The aim of this study is to determine essential steps required for a structured training program in MIO using the Delphi consensus methodology. Eighteen MIO experts from 13 European hospitals were asked to participate in this study. The consensus process consisted of two structured meetings with the expert panel, and two Delphi questionnaire rounds. A list of items required for training MIO were constructed for three key domains of MIO, including (1) requisite criteria for units wishing to be trained and (2) to proctor MIO, and (3) a framework of a MIO training program. Items were rated by the experts on a scale 1-5, where 1 signified 'not important' and 5 represented 'very important.' Consensus for each domain was defined as achieving Cronbach alpha >= 0.70. Items were considered as fundamental when >= 75% of experts rated it important (4) or very important (5). Both Delphi rounds were completed by 16 (89%) of the 18 invited experts, with a median experience of 18 years with minimally invasive surgery. Consensus was achieved for all three key domains. Following two rounds of a 107-item questionnaire, 50 items were rated as essential for training MIO. A consensus among European MIO experts on essential items required for training MIO is presented. The identified items can serve as directive principles and core standards for creating a comprehensive training program for MIO.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Visser, E.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
van Rossum, P. S. N.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
van Veer, H.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Al-Naimi, K.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Chaudry, M. A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Cuesta, M. A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gisbertz, S. S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gutschow, C. A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hoelscher, A. H.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Luyer, M. D. P.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mariette, C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Moorthy, K.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Nieuwenhuijzen, G. A. P.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Nilsson, M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rasanen, J. V.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schneider, P. M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schroeder, W.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Cheong, E.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
van Hillegersberg, R.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-194231
DOI: 10.1093/dote/dox124
Journal or Publication Title: Dis. Esophagus
Volume: 31
Number: 3
Date: 2018
Publisher: OXFORD UNIV PRESS INC
Place of Publication: CARY
ISSN: 1442-2050
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
LAPAROSCOPIC COLORECTAL SURGERY; PROFICIENCY-GAIN; ADENOCARCINOMA; VALIDATION; SURVIVAL; DESIGNMultiple languages
Gastroenterology & HepatologyMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/19423

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